| Muthanna Louis Md Pllc | |
|
7455 Glengrove Dr Bloomfield MI 48301-3871 | |
| (248) 798-7727 | |
| Not Available |
| Full Name | Muthanna Louis Md Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7455 Glengrove Dr, Bloomfield, Michigan |
| Authorized Official Name and Position | Muthanna Louis (PRESIDENT) |
| Authorized Official Contact | 2487987727 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Muthanna Louis Md Pllc 7455 Glengrove Dr Bloomfield MI 48301-3871 Ph: () - | Muthanna Louis Md Pllc 7455 Glengrove Dr Bloomfield MI 48301-3871 Ph: (248) 798-7727 |
| NPI Number | 1164702262 |
|---|---|
| Provider Enumeration Date | 08/19/2011 |
| Last Update Date | 09/12/2011 |
| Medicare PECOS PAC ID | 9234300435 |
|---|---|
| Medicare Enrollment ID | O20110920000457 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164702262 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
| Provider Name | Muthanna L Louis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538359872 PECOS PAC ID: 8123201704 Enrollment ID: I20110318000458 |
A3 Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4050 W Maple Road, Suite 101, Bloomfield, MI 48301 Phone: 248-885-8211 Fax: 248-855-8357 | |
Nidhi Shishu Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4521 River Trl, Bloomfield, MI 48301 Phone: 248-840-8289 |